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Organization
LIFETIME FAMILY DENTAL, P.C.
Active
Organization
LIFETIME FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHE Z (BUSINESS COORDINATOR)
(402) 330-6757
Entity
Organization
Contact information
Practice address
2323 S 171ST ST, SUITE 104, OMAHA, NE 68130-4651
(402) 334-4804
(402) 334-4755
Mailing address
2323 S 171ST ST, SUITE 104, OMAHA, NE 68130-4651
(402) 334-4804
(402) 334-4755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6854
NE
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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